NOTES:

* The pulse showed [[Kapha]] in the lungs. The doctor asked the patient if she is a smoker, she said that she was but no longer is. She also said that she was diagnosed with [[Candida Fungal Infection]] in the lungs which improved lately because of dietary changes. She used to have yellow mucus (P) when she had the lung infection.
* The doctor asked the patient if she was prematurely born because of her chronic [[Vata]] aggravation. Usually, prematurely born people have chronically aggravated [[Vata]].
* Intake of medication can alter the pulse and result in inaccurate pulse diagnoses.
* The patient was advised to follow a [[Vata]]-[[Pitta]] diet. She was also advised to avoid both [[coffee]] and [[black tea]]. While coffee's results are fast and instant, black tea has a long sustained action resulting in alertness and insomnia.
* The patient must stay away from cold water because cold contracts while heat expands. Cold water will contract her colon aggravating her [[constipation]]. Chronic and prolonged constipation can cause [[osteoporosis]], [[osteoarthritis]], [[arthritis]] and [[colon cancer]] due to the accumulation of [[ama]] in the body.
* The patient said that she goes to bed at around 11:00 pm. She wakes up at around 5:40 am, goes to sleep, and then finds it hard to get up. The doctor explained to her that the period between 10:00 and 2:00 is the [[Pitta time]], and during these hours, especially at around 12:00 am or pm, people usually experience a sudden increase of energy because of the fiery alert qualities of Pitta. Thus, the doctor advised the patient to go to sleep between 9:00 and 10:00 which is [[Kapha time]] which will help the patient go to sleep because of its heavy and [[tamas]]ic quality, and before the start of Pitta time when the liver fire rises up. Also it is necessary to sleep during Pitta time because it is liver rejuvenation time.
* The patient wakes up at 5:40 am, which is [[Vata time]], and just before Kapha time. She goes to sleep and finds it hard to wake up because she sleeps during the heavy and tamasic morning hours of Kapha. People wake up with more energy before Kapha hours, and during Kapha hours they wake up with greater difficulty.
* The patient takes [[Milk Thistle]] and [[multivitamin]] pills asked if it was OK to take multivitamins. The doctor said it was OK as long as she avoids those with high dosages of vitamins C and B which are hard on the liver and aggravate Pitta. [[Omega 3]], fatty acids and magnesium are OK.\\ \\

HERBAL FORMULA:

* 15 pts [[Shatavari]] ([[Asparagus racemosus]]), V-P-K=, main herb because the patient is a Pitta person, will regulate the menstruation, will treat the migraines and anger indirectly because it will balance out the aggravated Pitta and consequently the migraines and anger will be mitigated.
* 12 pts [[Jatamamsi]] ([[Nardostachys jatamamsi]]), V-P-K-, for the [[vikruti]] aggravation, will help with her sleep and the liver secondarily.
* 9 pts [[Brahmi]] ([[Centella asiatica]]), [[Manas Pratyanika]], herb for the mind, good for the [[Vata]] memory, inflammations in the body, is detoxifying, good for the liver, will help with her anxiety and fear, good for sleep and balancing the emotions, will make her mind clear and calm.
* 9 pts [[Guduchi]] ([[Tinospora cordifolia]]), V-P-K-, [[Vyadhi Pratyanika]], herb for the disease, good for Pitt in the liver, nervous system, Pitta [[retrobulbar]] headaches especially if combines with [[Sandalwood]]. Good for the energy.
* 8 pts [[Vidari]] ([[Ipomoea digitata]]), V-P-K=, [[Lakshana Pratyanika]], herb specific to organs and symptoms, to balance the hormones for women and regulate the menstruation with some antacid effect. Good for the energy.
* 1 pt of [[Kama Dudha]] (consists of red coral, conch shell, guduchi, Calcium), [[Agni Pratyanika]], V-P-, antacid, good for the migraines.\\ \\

//Take 1 tsp 3 x day with 1 tbsp aloe vera gel (anupan) before each meal ideally with room temperature water (the patient has no ama and no allergies.//

BHRINGARAJ OIL:

Perform a daily oil massage with Bhringaraj oil (Eclipta alba) at bedtime. Warm the oil and then apply onto the crown of the head, the soles of the feet, around the ears, and pour gently into the ear canal. This will help the insomnia.